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HomeMy WebLinkAbout30515-ZFORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. (THIS BUILDING PERMIT PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 30515 Z Permission is hereby granted to: KAREN C BROWN 22 SOUTH WASHINGTON ST PORT WASHINGTON, NY 11050 for : Date JULY 27, 2004 ADDITION TO AIq EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR at premises located at 1300 County Tax Map No. 473889 Section 064 pursuant to application dated JUNE Building Inspector to expire on JAN/IARY FOUNDERS PATH SOUTHOLD Block 0004 Lot No. 006 7, 2004 and approved by the 27, 2006. Fee $ 150.00 Authorized Signature ORIGINAL Rev. 5/8/02 LELD INSPECTION REPORT I DATE ] COMMENTS ' FOUNDATION (1ST) _ FOUNDATION (2ND) · ~L-.~.~ PLYING INSULATION PER N. Y. STATE ENERGY CODE ADDmONAL COMMENTS L TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 www. northfork.net/Southold/ PERMIT NO. Examined Z;/~ ,20 ~r Approved ~'/2.7 ,20 a~/ Disapproved a/c Expiration BUILDING PERMIT APPLICATION CHECKLIST Do you have or need the following, before applying? Board of Health 4 sets of Building Plans. Planning Board approval Survey Check Septic Form N.Y.S.D.E.C. Trustees Contact: Mail to: Phone: Building Inspector APPLICATION FOR BUILDING PERMIT INSTRUCTIONS / ,2o, 4- a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and waterways. c. The work covered by this application may not be commenced before issuance of Building Pemait. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shall be kept on the premises available for inspection throughout the work. · e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. ~ f. Every building permit shall expire if the work authorized has not cormnenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing cod~'~d regulations, and to admit authorized inspectors on premises and in building for necessary inspections. ~ ~ J J (Signatureofapplicant ornsme, ifa corporation) (Mailing address of applicant) t/(q,,~/ State whether applicant is owner, lesse~ agent, architect, engin/eer, general contractor, electrician, Name of owner of premises /Q~ ~'r_-o' ~--~. ~~. (As on the tax roll or latest deed) If applicant is a corporation, signatur~9)~u, ly authorized officer (Name and title of corporate officer) " Builders License No. Plumbers License No. Electricians License No. Other Trade's License No. plumber or builder 1. Location of land on which proposed work g~)ll be done: House Number Street Hamlet County Tax Map No. 1000 Section ~ ~ Block ~ 4-- Subdivision ~,o~ ~>z-;~r-~ Filed Map No. ~ ~ 4- (Name) Lot Lot State existing use and occupancy of premises and intended use and occupancy or, posed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building Repair Removal Demolition Estimated Cost Fee Addition Other Work If dwelling, number of dwelling units If garage, number of cars Alteration ~>~ Number of dwelling units on each floor (Description) (To be paid on filing this application) / 6. If business, commercial or mixed occupancy, specify nature and extent of each type of use. 7. Dimensions ofexis__ting structures, if any: Front Height Number of Stories I Dimensions of same structure with alterations or additions: Front Depth Rear fi-4. ?- Depth .5--'~:~ Height ~-- Number of Stories /' Dimensions of entire new construction: Front Height Number of Stories Size of lot: Front 7o~'9--~ Rear ~ 5 10. Date of Purchase/~,o ~ za~ ~ Name of Former Owner 6)~ h:;~6w~e~ 11. Zone or use district in which premises are situated ~ -~ 12. Does proposed construction violate any zoning law, ordinance or regulation? YES 13. Will lot be re-graded? YES__ Rear .Depth. Depth ~ ~' ~"'. / NO J NO ~Will excess fill be removed from premises? YES ~NO __ 14. Names of Owner of premises..~ : --"-~ (--~------~'~ _ Name of Architect .~ 7"-,,~,~ ,-,-,' .~ Name of Contractor tOa'C ~-~F--w' Address~. ~'~$~/~fr,~ //~7~Phone No. Address :~5',~/~F-~e~ Phone No Address Phone No. 15 a. Is this property within 100 feet ora tidal wetland or a freshwater wetland? *YES__ * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES__ NO__ * IF YES, D.E.C. PERMITS MAY BE REQUIRED. NO J 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. STATE OF NEW YORK) SS: COUNTY OFS'a/,cr-~/c_ .) ~. ~4.4.~ ~-~(7-'-~f ' ~7~/L4,~ 5'. being duly sworn, deposes and says that (s)he is the applicant (Name of individual signing contract) above named, (S)He is the ~.e~-~q--~..~ ~:~o F (Contractor, Agent, Corporate Office~, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that all statements contained in this application are true to the best of his knowledge and belief; and that the work will be performed in the manner set forth in the application filed therewith. Sworn to before me thig~'~ ~ ~day of ~,/~'~-- 200cf /~P l~otary Public JOYCE M. WILKINS Notary Public, State of New York No. 4952246, Suffolk County Term Expires June 12, ~00 ~ /' / - Signa"ture gfApplicant PKOPERTY RECORD CARD OWNER VI LLAGE OWNER N S DISTRICT SUB. W '~ES. SEAS. VL. ~,/~ LAND IMP. TOTAL DATE 70-0 AGE NEW Farm Tillable 1 Fillable 2 Tillable, 3 Woodland Swampland NORMAL ¥ BUILDING CONDITION BELOW Ac re ABOVE FRONTAGE ON WATER Value Per Acre Brushland House Plot Total Value FRONTAGE ON ROAD BULKHEAD DOCK 64-4-6 9/00 vL Bldg. Basement I/,/'g~ Floors [xtension '~'~ ~ ~xt. Walls ~/~ Jnterior Finish ~ension '~ Fire Pl~ce ~ ~ He~t Pomh R~f T~e , Porch Roo~ 1st Flor ~reezeway ~ Patio Rooms 2nd Flor ~arage ~:~ Driveway Dormer Robert I. Scott Jr., Chairman Scott A. Russell, Assessor Darline J. Duffy, Assessor Southold Town Hall, 53095 Route 25 P.O. Box 1179 Southold, NY 11971-0959 Fax: (631) 765-1356 Telephone: (631) 765-1937 BOARD OF ASSESSORS TOWN OF SOUTHOLD MEMORANDUM To~ From: Re: Date: Building Depj~:l~ent Scott Russell ~J SCIM# 1000-64-4-6 1000-64-4-3 Owner: Brown, Karen July 26, 2004 Please be advised that the above referenced properties have been combined. The new parcel ID number is 1000-64-4-6.1 The prior numbers referenced above have been retired and no longer apply to the property. The merger was completed on July 6, 2004 and does not yet appear on the assessment roll. If you have any questions, do not hesitate to contact me. SAR:mj Town Hall. 53095 Main Road P.O. Box 1179 Southold. New York 11971~0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD Fax 1631 ) 765-9502 Telephone (631 ) 765-1802 October 4th, 2006 Karen C. Brown 22 South Washington Street Port Washington, N.Y. 11050 RE: 1300 Founders Path SCTM# 064 0004 006 Dear Ms. Brown, Please be advised that your Building Permit #30515 issued July 27th 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00 at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDiNG DEPT. Town Hall, 53095 Main Road P.O. Box 1179 Southold. New York 11971-0959 Fax (631 ) 765-9502 Telephone (631 ) 765-1802 BUILDING DEPARTMENT TOWN OF SOUTHOLD March 27th, 2007 Karen C. Brown 22 South Washington Street Port Washington, N.Y. 11050 2ND NOTICE RE: 1300 Founders Path (addition) SCTM: 64 4 6 · I Dear Ms. Brown, Please be advised that your Building Permit #30515 issued July 27th, 2004 has expired. According to the Code of the Town of Southold, a Certificate of Occupancy must be issued prior to use of the structure. To renew your Building Permit, please submit a fee of $150.00; at that time we can schedule an inspection by one of our Building Inspector's. If you have any questions, please call us at 631-765-1802. Respectfully, SOUTHOLD TOWN BUILDING DEPT. Town Hall Annex .5 [37.5 Main Road P.O. 1½ox 1179 Soulhold, Nh' 11971-0939 Tckphonc (631) 765-1802 Fax (631) 76.5-9.50'2 1½l ;ILl)IN(; 1)EPARTMENT TOWN OF SOUTHOLD fiAarch 16*h, 2010 Koren C. Brown 22 5. Washington Street Port Washington, N.Y. 11050 Re: 1300 Founders Path / Violation SCTM# 1000-64.-4-6.1 To Whom This May Concern: Your BUILDIIq6 PERM:D- # 30515 for construction of an ADDITION has been referred to me because you hove not ~esponded to requests to obtain your Certificate of Occupancy as required by Southold Town code. Pursuant to 144-15A, of the 5outhold Town Code, "No building hereafter erected shall be used or occupied in whole or in part until o certificate of occupancy shall hove been issued by the Building Inspector." Therefore, you hove ten days from the receipt of this letter to submit a check mode out to the Town of ~outhold in the amount of $200.00: to renew the building permit, or legal action will be taken against you. Should you hove any questions, coil the building deportment between the hours of 8:00 a.m. and 4:00 p.m. Respectfully Yours, Damon Rallis, Zoning Inspector $outhold Building Depo~tment